14 MARION ROAD - BUILDING INSPECTION 14 Marion Rd.
I
Plans must be filed and approved by the Inspector
prior to a permit being granted 4) t7 U p
No. G� �'� CITY OF SALEM
Ward
HISTORIC DISTRICT? Y N � Date
IF FOR SIDING, HAS ELECTRIC Home Phone
--�G -"S
PERMIT BEEN OBTAINED? Y N Bus. Phone
APPLICATION "" PE
FOR
PERMIT TO
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to -the, -
following specifications:
Owner's name and address �h
Architect's name N /1
Builder's name / � -
Location of building, No.
CL�
What is the purpose of building?
If dwelling, # of units? h Material of b gi
Will building conform to law? Asbestos?
Estimated cost f City Lia# State Lie.#
Signature of Applicant /
SIGNED UNDER THE PENALTY OF PERJURY
DESCRIPTION OF WORE TO BE DONE
Mail Permit to:
2
0o�
t
k. ,
9',
I �
No. Ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Lecettoo ► �a civ. ��
PERMIT GRANTED
i� 19 9�
App owed
oCr.�( i � np fna' or
�O C��LPi4J
t�
CITY OF :SALEM
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE I � - I - C1 4el
JOB LOCATION /
IN.umber 1, treet address Section of Town
"HOMEOWNER h A.n rigs('a c -2 k t S 7 )4 E
Name Home phone Work phone
PRESENT MAILING ADDRESS a_L,."Q
City/Town State Zip Code
The current exemption of "homeowners" was extended to include owner-occupied
dwellings of six units or less and to allow such homeowners to engage an in-
dividual for hire who does not possess a license, provided that the owner
acts as supervisor. (State Building Code Section 109.1 .1
DEFINITION OF HOMEOWNER:
Person(s) who owns a parcel of land on which he/she resides or intends to re-
side, on which there is, or is intended to be, a one to six family dwelling,
attached or detached structures accessory to such use and/or farm structures.
A person who constructs more than one home in a two-year period shall not be
considered a homeowner. Such "homeowner" shall submit to the Building Official ,
on a form acceptable to the Building Official , that he/she shall be responsible
for all such work performed under the building permit. Section 109.1 .1
The undersigned "homeowner" assumes responsibility for compliance with the State
Building code and other applicable codes, by-laws, rules and regulations.
The undersigned "homeowner" certifies that he/she understands the City of Salem
Building Department minimum inspection procedures and requirements and that
he/she will comply with said procedures and requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
NOTE: Three family dwellings 35, 00 cubic feet, or larger, will be required
to comply with State Building Code Section 127.0, Construction Control .
HOME OWNER'S EXEMPTION
The Code states that: "Any Home Owner performing work for which a building
permit is required shall be exempt from the provisions of this section
(Section 109.1 .1 - Licensing of Construction Supervisors) ; provided that is
a Home Owner engages a person(s) for hire to do such work, that such Home
Owner shall act as supervisor."
Many Home Owners who use this exemption are unaware that they are assuming
the responsibilities of a supervisor (see Appendix Q, Rules and Regulations
for Licensing Construction Supervisors, Section 2.15) . This lack of aware-
ness often results in serious problems, particularly when the Home Owner
hires unlicensed persons. In this case your Board cannot proceed against
the unlicensed person as it would with licensed Supervisor. The Home Owner
acting as supervisor is ultimately responsible.
To ensure that the Home Owner is fully aware of his/her responsibilities,
many communities require, as part of the permit application, that the Home
Owner certify that he/she understands the responsibilities of a supervisor.
On the last page of this issue is a form currently used by several towns.
You may care to amend and adopt such a form/certification for use in your
community.
BUYER:���RAKAKIS 1 �/AOs >� �IELE]J
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INSP
TO TME ( A5T / ��IEST I/�CdzrGLY�E Co, , I NG ) MORTGAGE OCAAIM IN ION PLAN
AND ITS TITLE INSURER& //\
I CERTIFY THAT I HAVE EXAMINED THE PREMISES AND THE BUILDINGS SHOWN DO ( ) MASSACHUSETTS
CONFORM TO THE ZONING LAWS AND AMENDMENTS, Lo.(FRONT, SIDE, k REAR YARD SETBACK ONLY)
OF SRLEIA WHEN CONSTRUCTED, OR ARE EXEMPT FROM VIOLATION
ENFORCEMENT ACTION UNDER MASS. C.L. TITLE VII, CHAPTER 40A. SECTION 7, UNLESS OTHERWISE NOTED.
I FURTHER CERTIFY THAT THIS PROPERTY IS OOr LOCATED IN THE ESTABLISHED FLOOD DEED 0218
HAZARD AREA.COMMUNITY PANEL NO.:250Ia2 -�SZ% DATE: S-S-'85 BOOK
EXAMINATION OF THE RECORDS IS MADE ONLY SUBSEQUENT TO THE RECORDED DATE OF THE PAGE SZt3
LATEST DEED AND DOES NOT INCLUDE VERIFYING THE ACCURACY OF THE DEED DESCRIPTION
PREVIOUS TO ITS DATE OF RECORD. CERT. NO.
THIS COMPANY IS NOT RESPONSIBLE FOR ANY INDENTURES MADE SUBSEWENT TO THE RECORDED
DATE OF THE LATEST DEED OF RECORD.
PLAN BK. 115 PAGE
WHENEVER BUILDINGS ARE SHOWN LESS THAN ONE FOOT FROM THE PROPERTY UNE IT IS ADVISED
THAT A MORE PRECISE SURVEY BE MADE TO VERIFY THESE MEASUREMENTS. PLAN f 73 DATED 1971
A
THISCERTIFICATION IS BASED ON THE LOCATION OF SURVEY.MARKERS OF OTHERS, AND DOES NOT
REPRESENT A PROPERTY SURVEY. VERIFICATION OF !WJtVEY M S USED AND OFFSETS, AS SHOWN, C. 3 1983
MAY BE ACCOMPLISHED ONLY BY AN ACCURATE, INSTRUM�tkPg!
' S V. ' '�< SCALE: I-- SND'
THIS CERTIFICATION TO BE USED FOR MdR*�'��, SES ONLY.
OFFSETS AS SHOWN A yOT,.T E 'r�.
USED FOR THE ESTABLISHMENTJOT IRRpP_ �)( uJ S BRADFORD
�\/////� �_••�;:;;- ,; ENGINEERING CO.
�•. �` Jt/
` P.O. BOX
HAVEf611LL MA.. 01 016J1
JAMES W. BOUGIOUKAS R.LS. #9529 TEL (508) 373-2796